کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4155149 | 1273737 | 2015 | 5 صفحه PDF | دانلود رایگان |

BackgroundSevere morbidity and mortality has been reported from chest tube (CT) placement during pediatric extracorporeal membrane oxygenation (ECMO).MethodsKids’ Inpatient Database (KID) was analyzed for ECMO with CT placed < 8 days postcannulation (1997–2009).ResultsOverall, 5884 patients were identified (213 CT) (56% male, 49% white), with a median (IQR) age at ECMO cannulation 7 (117) days, length of stay (LOS) 26 (35) days, and total charges (TC) 342,116 (409,573) USD. Diagnoses included congenital diaphragmatic hernia (CDH) 16%, meconium aspiration (MA) 2%, pulmonary hypertension (PH) 13%, respiratory distress syndrome (RDS) 41%, and cardiac (C) 29%. Survival was overall 57%, CDH 47%, MA 88%, PH 75%, RDS 57%, and C 52%. There were no differences in survival between CT and non-CT patients compared overall, or by diagnosis, or by age < 30 days, or by diagnosis and age < 30 days. Multivariate analysis and propensity score matching for all ages, or < 30 days of age by diagnosis showed no difference in survival between CT and non-CT patients.ConclusionAnalysis of KID with correlative propensity score matching demonstrates no increased mortality in pediatric ECMO patients requiring CT placement.
Journal: Journal of Pediatric Surgery - Volume 50, Issue 5, May 2015, Pages 793–797